Stephanie Carol Smith Kellen
NPI 1801366992ActiveIndividual· Psychologist· Wausau, WI
Psychologist with Behavioral Health Clinic LLC, practicing in Wausau, Wisconsin. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1801366992 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Nov 30, 2018 |
| Last updated in NPPES | Oct 13, 2023 |
| Certified by provider | Oct 13, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 4155-57 | WI |
| Counselor, Mental Health | 101YM0800X | 12262 | NE |
| Behavior Analyst | 103K00000X | RBT-18-65709 | OK |
| Psychologist, School | 103TS0200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (WI) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Behavioral Health Clinic LLCGrafton, WI · 42 clinicians
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